Organization
BACK TO HEALTH SOUTHPOINT
Active
Other names
Back To Health CMC Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENENTH BROWN DC (CEO)
(919) 544-8881
Entity
Organization
Contact information
Practice address
6224 FAYETTEVILLE RD, 106B, DURHAM, NC 27713-6288
(919) 544-8881
(919) 544-8889
Mailing address
6224 FAYETTEVILLE RD, 106B, DURHAM, NC 27713-6288
(919) 544-8881
(919) 544-8889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085FR
BCBS
NC
01
—
1252060
COVENTRY
NC
01
—
621714
UNITED HEALTH CARE
NC
Enumeration date
05/22/2015
Last updated
05/22/2015
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